Surgical treatment of thoracic operculum syndrome

The thoracic operculum syndrome (SOT) comprises a series of symptoms caused by the compression of one or several noble structures that cross it and that are: brachial plexus, subclavian artery and vein. The symptoms depend on the component of the vascular-nervous bundle involved and the initial treatment would usually be kinesthetic to re-educate the musculature of the scapulo-humeral waist. Only in selected patients with disabling neurological symptoms or vascular complications derived from chronic compression, surgical correction is justified to expand the osteomuscular structures that make up the thoracic operculum.